Suchergebnisse

This book treats the spectacular rise in life expectancy during the last three centuries. It is the first study to bring together both published and unpublished material about the history of the health of Belgian men and women and to analyze it critically. Isabelle Devos studies the mechanisms of the historic fall in the death rate in an original manner and answers the question why research on the causes of this decline has not progressed faster. While the discipline of historical demography orients the first part of her book, the discipline of historical epidemiology provides the perspective taken in the second part, in which the role of insects as spreaders of disease is explored. Essential in her study is the importance of local medical practitioners who already at the end of the Ancien Régime warned of the dangers present in the environment. Their 'ecological' thinking created a consciousness that was decisive for the further development of healthcare.

Shadowing as a research strategy: following healthcare managers in their daily work
Lieke Oldenhof
Shadowing is a qualitative research strategy that is not used as often as regular qualitative methods, such as interviews. In this article, I will show the value of shadowing in terms of researching the mundane aspects of managerial work in healthcare.

During the last couple of years, sociological approaches in European studies have gained increasing attention from scholars. The 'usages of Europe' approach looks at the opportunities and resources that the EU provides for national actors to advance their interests, from a bottom-up perspective. As European rules on cross-border healthcare have been threatening the principle of the territoriality of healthcare services, the article analyses two cross-border healthcare projects in Austrian border regions to determine if and how actors' strategies have been Europeanised, and whether their actions could destructure national welfare boundaries. In order to explain how these regional actors incorporate European resources into their strategies a combination of the 'usages of Europe' approach with Historical Institutionalism is suggested. Adapted from the source document.

During the last couple of years, sociological approaches in European studies have gained increasing attention from scholars. The 'usages of Europe' approach looks at the opportunities and resources that the EU provides for national actors to advance their interests, from a bottom-up perspective. As European rules on cross-border healthcare have been threatening the principle of the territoriality of healthcare services, the article analyses two cross-border healthcare projects in Austrian border regions to determine if and how actors' strategies have been Europeanised, and whether their actions could destructure national welfare boundaries. In order to explain how these regional actors incorporate European resources into their strategies a combination of the 'usages of Europe' approach with Historical Institutionalism is suggested. Adapted from the source document.

Review
Review
In this contribution the authors review Action research in nursing and healthcare by G.R. Williamson, L. Bellman and J. Webster.

Thirty years of qualitative research into health and healthcare: an insider's perspective
This paper offers a personal reflection of two researchers on the development of qualitative research in health and healthcare in the past thirty years in the Netherlands. We explore the rise in international publications, as well as the themes that researchers address and the methodologies they use. We conclude that in recent decades the importance and number of qualitative studies in the field of health and care has increased substantially in the Netherlands. However, at the same time it seems that the debate about qualitative research has stopped. Reflections on their use are needed to maintain and develop the quality of the methods, particularly in a period in which qualitative research methods are accepted and widespread.

Palliative care in the picture?!
This article describes a video-based observation research method to investigate the approach of healthcare professionals in a Dutch hospital when identifying palliative patients. We analyzed video recordings of eight multidisciplinary consultation meetings of four medical disciplines: cardiology, oncology, urology and geriatric care. The method of video-based observation suited the aim of this research. The most valuable aspects were the subtleties (e.g. non-verbal information) in interdisciplinary communication about palliative patients.

This book treats the spectacular rise in life expectancy during the last three centuries. It is the first study to bring together both published and unpublished material about the history of the health of Belgian men and women and to analyze it critically. Isabelle Devos studies the mechanisms of the historic fall in the death rate in an original manner and answers the question why research on the causes of this decline has not progressed faster. While the discipline of historical demography orients the first part of her book, the discipline of historical epidemiology provides the perspective taken in the second part, in which the role of insects as spreaders of disease is explored. Essential in her study is the importance of local medical practitioners who already at the end of the Ancien Régime warned of the dangers present in the environment. Their 'ecological' thinking created a consciousness that was decisive for the further development of healthcare

On 13 March 1908, the National Bureau for the Collection of Data on the Trade in Women and Girls was founded. The 47-year-old H.J.A. Simons de Ruyter was appointed National Police Commissioner. He proved to be the best person for the job owing to his passion for gathering and recording vital data, his knowledge of languages and his dedicated, helpful and generous personality. The Bureau and the police worked with women's organisations to monitor activities and carry out checks at stations and ports where women and girls who could be exposed to a lewd lifestyle might be travelling. After legislation on morality was passed in 1911, the Bureau was given an additional task in 1914 to tackle trade in lewd publications. After the First World War erupted that year, there was not much more to do at the Bureau, which led Simons de Ruyter to support the immigration authorities in Amsterdam at his own request. This consisted mainly of finding accommodation, providing healthcare, food, clothing and financial assistance and helping to repatriate Belgian refugees.

Changing together is learning together. A participatory action research project on the role of the internist in promoting a healthy lifestyle
This article describes the first three stages of an action research project. Following eight methodological principles of participatory action research, this article aims to give insight in the nature of the challenges and dilemmas involving internists, patients and patient representatives in the research process mention. Dilemmas included giving space versus limiting participation together with operating efficiently versus being flexible and honoring the input of all participants equally. It was a challenge to reflect not only on the content and procedures but also on everybody's role in the learning process. In conclusion, action research offers a critical base for a participative and reflective method but it is also a challenge for busy healthcare practices that focus on content and concrete action and less on the learning process. Because reflection on the learning process is important for scientific standards, we suggest to give monitoring and reflection a central place in the action research cycle.

Dutch socioeconomic concertation has experienced some transformative changes in its modus operandi in recent years, which has given the 'Polder Model' a new lease on life for the time being. Building on an older tradition of sharing political space with civil society organizations, the recent liberal-social democratic government coalition, with Mark Rutte at the helm (2012-2017), has been able to enact a surprisingly successful structural reform agenda in the aftermath of the global financial crisis. Governing in times of significant economic, social and political uncertainty, it is no mean feat that the Rutte II administration – de facto a minority government – is the first Dutch coalition to complete its term since the administration under Wim Kok (1994-1998). After the foundational Social Accord (the so-called Mondriaan Akkoord) in April 2013, a series of reform agreements were reached in the policy areas of education, housing, healthcare, industrial and energy policy. For each of these more meso-level accords, a variety of civil society organizations participated that were beyond the traditional social partners of business and labor. Over time these seemingly ad hoc, open and non-hierarchical agreements materialized in a trajectory of cumulatively transformative policy change. The political tactic of the Rutte II government stands out in comparison with the halcyon Dutch miracle era of the Polder Model in the 1980s and 1990. We explain the new modes of Dutch socioeconomic policy concertation and its political tactic as a kind of rallying around existing institutional arrangements to bring the contested political and social center together behind a major adjustment strategy, including retrenchment, compensatory social meas­ures and investments, when reform output and outcomes are fundamentally uncertain. Whether the new Polder Model will prove robust remains an open question. Recently, new multiple party covenants were negotiated in the textile and banking industry. Meanwhile a number of issues concerning regional labor market regulation and work-life balance reconciliation have yet to be resolved.